Hockey Canada Course Expense Reimbursement Form (New Hamburg Hockey Association)

Hockey Canada Course Expense Reimbursement Form

NHHA reimburses 100% of the cost of Hockey Canada accreditation clinics. To be reimbursed, coaches must provide the association Treasurer with proof they have successfully completed the course. The Clinic reimbursement form can be found in the Coaches resources section on the website and must be filled out along with a blank cheque to the Treasurer for automatic deposit.

Contact Information

First and Last Name^*

Required

Address^*

Required

Number / Street Name

City^*

Required

Postal Code^*

Required

A1B2C3

Contact Number^*

Required

Example: ###-###-####

Email Address for Reimbursement

CAREFULLY enter the email address where you would like us to send payment. Please understand that if you enter the wrong email address on this form, your payment may be permanently lost.

Email Address for payment by e-transfer^*

Required

Example: [email protected]

Team Information

Which team are you requesting this for?

Select Your Team^*

Required

Position on Team^*

Required

Coach, Assistant Coach, Trainer

Clinic Information

Enter Information for the clinic attended

Type^*

Required

Police check, Trainer, Coach

Level

Trainer / Coach Only

Fee^*

Required

Enter the amount of the entry fee for this tournament

Clinic Location^*

Required

Clinic Date^*

Required

Attachment

Receipt & Certification Attachments

Please attach scanned copy of receipt^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 5. Maximum File Size: 4MB.

Please attach scanned copy of certitication^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 5. Maximum File Size: 4MB.

Hockey Canada Course Expense Reimbursement Form (New Hamburg Hockey Association)

OMHA Digital Network

Contact Information

Email Address for Reimbursement

Team Information

Clinic Information

Attachment

Get Mobile!

Contact Us